Phone | Fax


In pro per


SHOMARI PARSONS,Complainant,vs .XXX COMPANY,Respondent.Case No.: Numbercomplaint

NOW COMES Shomari Parsons, Complainant, complaining of Respondent, Admiral Insurance Company, and for cause would show as follows:

  1. CCCC
  2. XXX
  1. FACTS
  1. Complainant insured his vehicle, a 2013, 63, Land Rover, Range Evoque, 2.2SD4 (190bhp) 4WD Dynamic LUX Hatchback 5d Automatic Transmission, 9 speed, Diesel, 4-wheel drive permanent, 2179cc, registration number Y5HOM (the “Vehicle”) with Respondent. One of the perils that Respondent insured Complainant is theft.
  2. On [DATE], Complainant’s car was stolen at the car park in Complainant’s apartment building.
  3. Complainant made a stolen vehicle report at [POLICE STATION/PRECINCT] on [DATE] and the police commenced investigations. After [DURATION], the police could not find Complainant’s vehicle. 
  4. Complainant went to Respondent to claim payout for his stolen vehicle.
  5. Complainant expected to receive a payout in the amount of £[AMOUNT]. However, Respondent offered to pay Complainant £[AMOUNT]. 
  6. Complainant went to Respondent’s offices to dispute the amount offered to him, the deductions from the settlement and the valuation of his vehicle.
  7. Respondent only addressed the deduction from the settlement and declined to give Complainant his payout of £[AMOUNT]. Respondent also declined to increase the valuation of Plaintiff’s vehicle.
  1. In a letter to Complainant dated XXXX Respondent informed that it would not be giving Complainant the payout he requested.
  2. Respondent claimed that Complainant provided inaccurate information at the time of obtaining the insurance policy.
  3. Complainant understands that in such a scenario, Respondent is supposed to calculate the correct value of Complainant’s vehicle, add the excess, then charge Complainant the excess amount. Instead, Respondent opted to cover only 35% of Complainant’s vehicle and pay only £[AMOUNT].
  4. Despite multiple requests, Respondent has declined to calculate the value of Complainant’s vehicle, add the excess amount, and subsequently charge Complainant that amount. 

REASONS WHEREFORE, Complainant respectfully requests the Financial Ombudsman Service to grant him the following reliefs:

  1. Direct Respondent to calculate the value of Complainant’s vehicle, add the excess amount and charge it on Complainant;
  2. Award such equitable relief as may be appropriate under the circumstances; and
  3. Award such further relief as the Financial Ombudsman Service deems necessary and proper.

Dated this day of Month, year.

Respectfully Submitted,



I, XXX, being duly sworn depose and say that I am the Complainant in the above entitled action, that I have read the foregoing Complaint and know the contents thereof. That the same is true of my own knowledge except as to those matters and things stated upon information and belief, and as to those things, I believe them to be true.


(Sign in the presence of a Notary Public)

Sworn to and subscribed before me this _____ day of ____________________, 2021.


Notary Public


(Printed name of Notary Public)

My Commission Expires: ____________________


I hereby certify that a true and correct copy of the foregoing document was sent on the (Date) day of (Month) (Year) by regular U.S. mail, by facsimile, or certified mail, return receipt requested, to the following parties or attorneys of record:

(Name of Attorney), Attorney at Law

Dated this day of Month, year.

Respectfully Submitted,

At Legal writing experts, we would be happy to assist in preparing any legal document you need. We are international lawyers and attorneys with significant experience in legal drafting, Commercial-Corporate practice and consulting. In the last few years, we have successfully undertaken similar assignments for clients from different jurisdictions. If given this opportunity, The LegalPen will be able to prepare the legal document within the shortest time possible. You can send us your quick enquiry ( here )